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	<title>Comments on: News 6/25/10</title>
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	<description>Healthcare IT News and Opinion</description>
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		<title>By: Al Borges MD</title>
		<link>http://histalk2.com/2010/06/24/news-62510/comment-page-1/#comment-9492</link>
		<dc:creator>Al Borges MD</dc:creator>
		<pubDate>Sat, 26 Jun 2010 02:16:23 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=5831#comment-9492</guid>
		<description>Hi Blah!

Long time no debate... But fake 21% pay cuts? Do you not read the papers? How about just do a Google search:  http://www.google.com/search?q=21%25+medicare+pay+cuts&amp;rls=com.microsoft:en-us&amp;ie=UTF-8&amp;oe=UTF-8&amp;startIndex=&amp;startPage=1

I have to prostitute myself by taking these payments for now because I have to so as to survive, but I am cutting back on Medicare as much as I can. Eventually I will stop taking Medicare patients, or figure out a way to charge them extra for the payments cut by their insurance company.

&gt;&gt;&gt; What evidence do you have that removing high insurance payouts will stop defensive duplications of tests? 

So are you for continuing the malpractice situation that we have now? 

Al</description>
		<content:encoded><![CDATA[<p>Hi Blah!</p>
<p>Long time no debate&#8230; But fake 21% pay cuts? Do you not read the papers? How about just do a Google search:  <a href="http://www.google.com/search?q=21%25+medicare+pay+cuts&#038;rls=com.microsoft:en-us&#038;ie=UTF-8&#038;oe=UTF-8&#038;startIndex=&#038;startPage=1" rel="nofollow">http://www.google.com/search?q=21%25+medicare+pay+cuts&#038;rls=com.microsoft:en-us&#038;ie=UTF-8&#038;oe=UTF-8&#038;startIndex=&#038;startPage=1</a></p>
<p>I have to prostitute myself by taking these payments for now because I have to so as to survive, but I am cutting back on Medicare as much as I can. Eventually I will stop taking Medicare patients, or figure out a way to charge them extra for the payments cut by their insurance company.</p>
<p>&gt;&gt;&gt; What evidence do you have that removing high insurance payouts will stop defensive duplications of tests? </p>
<p>So are you for continuing the malpractice situation that we have now? </p>
<p>Al</p>
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		<title>By: Al Borges MD</title>
		<link>http://histalk2.com/2010/06/24/news-62510/comment-page-1/#comment-9491</link>
		<dc:creator>Al Borges MD</dc:creator>
		<pubDate>Sat, 26 Jun 2010 02:05:29 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=5831#comment-9491</guid>
		<description>Hi Barmy:

It&#039;s not an ad hominem attack- it&#039;s a fact that they are a leftist, Obama-loving socialist organization. For some readers, that is a good thing. I just happen to disagree with their agenda.

I do consider Carter to be the worse president the USA has never had--- until Obama, who is just slightly WORSE. Both were plagued with a malaise and with an inability to handle crises. Both had ideas on how to work with foreign governments that have left the USA in a weaker position. Obama, though, is surrounded with leftists and communists...

&gt;&gt;&gt; Can you show me where our per-capita expenditures aren’t 2x more than everyone else’s?

The per capita expenditures are high due to a numerous reasons not found elsewhere in the world- s.a. high malpractive costs as well as the high cost of doing business, which includes higher wages paid to nurses and staff, as well as higher property costs and costs of equiptment, and now the cost of buying and using a &quot;meaningful use&quot; EHR. Physicians being forced to now recertify for their Medical Boards in some cases up to a yearly basis, forcing them to leave their practices to study further decreasing productivity. 

You can&#039;t expect to have a highly bureaucratic healthcare system and pay Walmart prices. Actually, Average Joe said it perfectly in his statements.

Al</description>
		<content:encoded><![CDATA[<p>Hi Barmy:</p>
<p>It&#8217;s not an ad hominem attack- it&#8217;s a fact that they are a leftist, Obama-loving socialist organization. For some readers, that is a good thing. I just happen to disagree with their agenda.</p>
<p>I do consider Carter to be the worse president the USA has never had&#8212; until Obama, who is just slightly WORSE. Both were plagued with a malaise and with an inability to handle crises. Both had ideas on how to work with foreign governments that have left the USA in a weaker position. Obama, though, is surrounded with leftists and communists&#8230;</p>
<p>&gt;&gt;&gt; Can you show me where our per-capita expenditures aren’t 2x more than everyone else’s?</p>
<p>The per capita expenditures are high due to a numerous reasons not found elsewhere in the world- s.a. high malpractive costs as well as the high cost of doing business, which includes higher wages paid to nurses and staff, as well as higher property costs and costs of equiptment, and now the cost of buying and using a &#8220;meaningful use&#8221; EHR. Physicians being forced to now recertify for their Medical Boards in some cases up to a yearly basis, forcing them to leave their practices to study further decreasing productivity. </p>
<p>You can&#8217;t expect to have a highly bureaucratic healthcare system and pay Walmart prices. Actually, Average Joe said it perfectly in his statements.</p>
<p>Al</p>
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	<item>
		<title>By: Blah</title>
		<link>http://histalk2.com/2010/06/24/news-62510/comment-page-1/#comment-9487</link>
		<dc:creator>Blah</dc:creator>
		<pubDate>Fri, 25 Jun 2010 19:17:58 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=5831#comment-9487</guid>
		<description>What evidence do you have that removing high insurance payouts will stop defensive duplications of tests? What evidence is there that Physicians don’t place duplicate orders to protect their jobs and careers irregardless of insurance company payouts?

Isn’t the better way of fixing duplicate orders basic CPOE best practices and policy, rather than removing consumers rights?</description>
		<content:encoded><![CDATA[<p>What evidence do you have that removing high insurance payouts will stop defensive duplications of tests? What evidence is there that Physicians don’t place duplicate orders to protect their jobs and careers irregardless of insurance company payouts?</p>
<p>Isn’t the better way of fixing duplicate orders basic CPOE best practices and policy, rather than removing consumers rights?</p>
]]></content:encoded>
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	<item>
		<title>By: Average Joe</title>
		<link>http://histalk2.com/2010/06/24/news-62510/comment-page-1/#comment-9486</link>
		<dc:creator>Average Joe</dc:creator>
		<pubDate>Fri, 25 Jun 2010 18:13:04 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=5831#comment-9486</guid>
		<description>Tort reform saves more than just the rewards of malpractice cases.  Malpractice insurance costs go down, duplicate test are not ordered, etc. etc.  When a physician can practice without a CYA attitude, the savings will ripple through the system.</description>
		<content:encoded><![CDATA[<p>Tort reform saves more than just the rewards of malpractice cases.  Malpractice insurance costs go down, duplicate test are not ordered, etc. etc.  When a physician can practice without a CYA attitude, the savings will ripple through the system.</p>
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	<item>
		<title>By: It's Not Easy Being Green</title>
		<link>http://histalk2.com/2010/06/24/news-62510/comment-page-1/#comment-9478</link>
		<dc:creator>It's Not Easy Being Green</dc:creator>
		<pubDate>Fri, 25 Jun 2010 15:40:26 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/?p=5831#comment-9478</guid>
		<description>Motion J3500.  Wow.  Yet another $2,200, 3.6 lb, PC stuffed into a small box that gets hot enough to cook an egg on with a battey that can&#039;t last a shift (unless I hot swap - and it will be &quot;hot&quot;) and oh, wait - I just turned it on - it&#039;s booting up Windows 7!  arg! - gimme a few minutes.  Yup, just what healthcare always wanted.  Thanks.  Yawn.  

Now if I could only find an inexpensive tablet sized device with a 10 hr battery life at maybe 1.5 lbs that was actually ready to use the second after I pressed the ON button...  ah, who am I kidding.</description>
		<content:encoded><![CDATA[<p>Motion J3500.  Wow.  Yet another $2,200, 3.6 lb, PC stuffed into a small box that gets hot enough to cook an egg on with a battey that can&#8217;t last a shift (unless I hot swap &#8211; and it will be &#8220;hot&#8221;) and oh, wait &#8211; I just turned it on &#8211; it&#8217;s booting up Windows 7!  arg! &#8211; gimme a few minutes.  Yup, just what healthcare always wanted.  Thanks.  Yawn.  </p>
<p>Now if I could only find an inexpensive tablet sized device with a 10 hr battery life at maybe 1.5 lbs that was actually ready to use the second after I pressed the ON button&#8230;  ah, who am I kidding.</p>
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